DONNIE D BOUCHARD (NPI# 1306923313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306923313 |
| Entity Type | Individual |
| Full Name | DONNIE D BOUCHARD |
| Credential | DO |
| Practice Address |
63559 60th Ave Hartford MI 49057-8662 |
| Mailing Address |
4408 S Westnedge Ave Kalamazoo MI 49008-3210 |
| Practice Telephone | 2692709332 |
| Practice Fax Number | 2693128283 |
| Mailing Telephone | 2692709332 |
| Mailing Fax Number | 2693128283 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5101011443 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
63559 60TH AVE |
| City | HARTFORD |
| State | MI |
| Zip Code | 49057-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508257353 | Amy Mcnamara | Social Worker | 63559 60th Ave, Hartford, MI 49057-8662 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1457624074 | Sandra Lynn Sharp | Social Worker | 57150 Cr. 681, Hartford, MI 49057 | 2012-02-13 |
| 1467647412 | Amanda Crystal-dawn Ramtahal | Social Worker | 57418 Cr. 681, Suite C., Hartford, MI 49057 | 2007-09-12 |
| 1447445697 | Traci Jo Drake | Social Worker | 57150 Cr 681, Hartford, MI 49057 | 2007-09-11 |
| 1639364888 | Tammy Sue Curtis | Social Worker | 57418 Cr 681, Suite C, Hartford, MI 49057 | 2007-09-11 |
| 1346340817 | Drs. Ed & Sue Liebenthal Plc | Dentist | 19 W.south St., Hartford, MI 49057 | 2006-09-25 |
| 1093177040 | Janette Rose Winters | Dental Hygienist | 57418 Cr 681, Hartford, MI 49057 | 2016-03-28 |
| 1295097889 | Van Buren Community Mental Health Authority | Social Worker | 57418 County Road 681, Suite C, Hartford, MI 49057 | 2012-06-11 |
| 1629371091 | Nora Adessa Fox-wentz | Psychologist | 57418 Cr. 681, Suite C, Hartford, MI 49057 | 2010-12-07 |
| 1982916045 | Van Buren Community Mental Health Authority | Counselor | 57418 Cr 681, Suite C, Hartford, MI 49057 | 2010-07-06 |
| Find all providers in zip 49057 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851640775 | Tricia Rita Pinto | Pediatrics | 21 Woodland St Ste 115, Hartford, CT 06105-4318 | 2012-09-06 |
| 1922353101 | Fredericka Wolman | Pediatrics | 505 Hudson St, Hartford, CT 06106-7107 | 2012-07-13 |
| 1528328184 | Caitlin Marie Heyden | Pediatrics | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | 2012-05-16 |
| 1720272974 | Amy Carlucci Wu | Pediatrics | 282 Washington St., 2b, Hartford, CT 06106 | 2007-08-30 |
| 1720121122 | Virginia Howell Rittner | Pediatrics | Ssa, 309 Wawarme Ave, Hartford, CT 06114 | 2007-02-15 |
| 1982613303 | Jody Lynn Terranova | Pediatrics | 131 Coventry St, 2nd Floor, Hartford, CT 06112-1548 | 2006-08-05 |
| 1609812080 | Jody Elizabeth Navitsky | Pediatrics | 75 New Britain Ave, Hartford, CT 06106 | 2006-06-22 |
| 1457302820 | Glenn Flores | Pediatrics | Connecticut Children's Specialty Group, 282 Washington Street, Hartford, CT 06106-3322 | 2006-05-12 |
| 1225024672 | Amira M Mohamed Ahmed | Pediatrics | 1000 Asylum Avenue, Hartford, CT 06105 | 2005-09-21 |
| 1457905242 | Rachel Payne Wright | Pediatrics | 76 New Britain Ave, Hartford, CT 06106-3305 | 2019-07-30 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on DONNIE D BOUCHARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.